Rosset P, Mir A, Wassmer F A
Service de chirurgie, CHUV, Lausanne.
Helv Chir Acta. 1991 Jul;58(1-2):167-8.
Between 1985 and 1989, 16 patients under anticoagulant therapy developed a haematoma in the psoas or iliac muscle, 60% of them with a severe femoral nerve entrapment syndrome. Six patients were operated, all with a femoral nerve paralysis, and 5 of them had a quick and complete recovery. Only one still has some complaints in the femoral nerve territory. Among the 10 patients with a nonoperative approach, none of those with a femoral nerve paralysis was completely cured at 6 months. The surgical treatment is the best way to a quick recovery, provided it is done at an early stage.
1985年至1989年间,16名接受抗凝治疗的患者在腰大肌或髂肌出现血肿,其中60%伴有严重的股神经卡压综合征。6名患者接受了手术,均出现股神经麻痹,其中5名迅速完全康复。只有1名患者在股神经区域仍有一些不适。在10名采用非手术治疗的患者中,股神经麻痹的患者在6个月时均未完全治愈。如果能在早期进行手术治疗,那么它是实现快速康复的最佳方法。